Marrelli and Associates, Inc.

P.O. Box 308 Venice, Florida, 34284
(941) 445-5353

Tina Marrelli is the President of Marrelli and Associates, Inc., a publishing and consulting firm working in healthcare for over 20 years. Tina is the author of numerous books, including the Handbook of Home Health Standards: Quality, Documentation and Reimbursement, The Hospice and Palliative Care Handbook and the best-selling home health aide educational system, Home Health Aide Guidelines for Care: A Handbook for Care Giving at Home and its accompanying Nurse Instructor Manual. Tina served on the workgroups that defined the first hospice nurse standards as well as serving as a reviewer in 2014 for the Revised Home Health Nursing: Scope and Standards of Practice through the American Nurses Association.

A Guide for Caregiving: What’s Next: Planning for Safety, Quality, and Compassionate Care for Your Loved One and Yourself (2018) received two accolades. The American Journal of Nursing named that book a top three consumer health care book, while www.Caring.com named it one of the Best caregiving Books of 2017. Tina is the Chief Clinical Officer of Innovative Caregiving Solutions LLC. That book’s information is presented in a more robust e-version for health care providers and systems to offer to their patient populations to support and inform family and friend caregivers. Visit www.e-Caregiving.com.


Tina attended Duke University where she received her undergraduate degree in nursing. She also has master’s degrees in health administration and in nursing. Tina has worked in hospitals, nursing homes, public health, and has practiced as a visiting nurse or managed in home care and hospice for over 20 years. Tina also worked at Medicare’s central office (CMS) for four years on Medicare Part A home care and hospice policies and operations as well as serving as the Interim Branch Chief for Medicare Part B. Tina loves policy and the nuances that frame practice and delivery.


Tina is an international health care consultant, specializing in home care and models of care provided in the community to people at home. Tina and her team of specialized consultants have been in business since 2002 and provide services related to the “design and implementation of challenges to providing home and community-based care.” In that capacity, they have served over 100 clients throughout the world, clients who represent varying segments of service to home care and/or related products. Services include custom presentations, software development, educational services, serving as Team Leader with a team that serves as quality monitors to the OIG, accreditation services, new organizational start-ups, due diligence, feasibility studies, and more.

Tina has been the editor of three peer-reviewed publications— for Home Healthcare Nurse (now Home Healthcare Now), where she served as the Editor-in-Chief for eight years. She is also an Emeritus Editor for Home Healthcare Now. Tina also serves on the editorial boards of the Journal of Community Health Nursing and The American Nurse.

Tina was a founding member of the International Home Care Nurses Organization (www.IHCNO.org), which was developed “to support a vibrant worldwide network of nurses to promote excellence in providing optimal care to patients living at home wherever they live in the world.”

Family and Hobbies

Tina has been married to her “Hubby,” Bill, for 25 years and hopes for another 25! Bill’s sweet 96-year-old father, Otto, lived with them through his death.

Tina is a cat person, but since their last one went to kitty heaven (Limpy Buttercup) and with her Dad-in-law’s increasing frailty, a new cat was out of the question—this would have been one more factor that could contribute to a fall. So stay tuned for the next kitty!

Tina and Bill have done “Sea Turtle Patrol” for over 15 years on the beaches of the west coast of Florida—there is almost nothing as exciting as seeing these vestiges of the dinosaur era come ashore to lay their eggs and then to see and watch hatchlings—all species of which are either threatened or endangered—Very exciting! Just ask me about these charismatic air-breathing sea creatures and I can talk for hours.


  • “The History of the International Home Care Organization”Home Healthcare Now, February 2016
  • “Ten tips for transitioning from home care nurse to nurse manager”American Nurse Today, January 2016
  • Handbook of Home Health Care Administration, 6th edition, Harris, Marilyn. “Status of Home Health Care 2015 and Beyond.” J &  B Learning, 2015.
  • How to Succeed as A Home Care Nurse” –The American Nurse, January, 2015.
  • Home Healthcare: What It Is, How It is Changing and How Health Care May Return to Its Roots” –The American Nurse, June, 2014.
  • Anatomy of Writing for Writing for Publication for Nurses. Chapter entitled “Submissions and Revisions –Working with Editors.” Sigma Theta Tau Press, 2017.
  • Handbook of Home Health Standards and Documentation Guidelines for Reimbursement. Marrelli, 2018.
  • Home Health Aide: Guidelines for Care. Handbook and Accompanying Instructor Manual. Marrelli and Associates.
  • Quality Improvement in Home Care Nursing. In Modly, Doris et al.
  • The Hospice and Palliative Care Handbook: Quality, Documentation, and Reimbursement. Sigma, 2018.
  • Contributor, Perry/Potter Clinical Skills & Techniques, 6th edition, Elsevier.
  • Issue Editor, “Regulations and Legislation: The Big Picture”, Home Health Management and Practice, Volume 16, Number 2.
  • Nursing Documentation Handbook. Mosby-Year Book Company, 2000.
  • The Nurse Manager’s Survival Guide: Practical Answers to Everyday Problems. Sigma Theta Tau, 2018.
  • Special Contributor United Communications Group, “Clinical Supervisor Alert”, Rockville, MD, 2002-2004.
  • Editor, Home Care Provider. Mosby-Year Book Company, 1999-2001.
  • Editor/Publisher, Home Care Nurse News/Home Care & Hospice Update, 1994-2000.
  • Mosby’s Home Care & Hospice Drug Handbook. Mosby-Year Book Company, 1999.
  • Home Care Therapy: Quality, Documentation, and Reimbursement: A Handbook for Physical Therapists, Speech-Language Pathologists, and Occupational Therapists. Marrelli and Associates, 1999.
  • Manual of Home Health Practice: Guidance for Effective Clinical Operations. Mosby-Year Book Company, 1998.
  • Home Care Nursing Services: International Lessons. Springer Publishing Company, 1997.
  • Handbook of Home Health Orientation. Mosby-Year Book Company, 1997.
  • Home Care and Clinical Paths: Effective Care Planning Across the Continuum. Mosby-Year Book Company, 1996.
  • Numerous presentations, book chapters, journal articles, feature articles, columns and other publications too lengthy to list.

Professional Associations

  • Founder, International Home Care Nurses Organization (www.IHCNO.org)
  • Fellow, the American Academy of Nursing
  • The Center for Nursing Advocacy
  • Member, Home Care Association of Florida (HCAF)
  • International Academy of Nurse Editors (INANE)
  • Member, National Association for Home Care and Hospice (NAHC)
  • Member, National Hospice and Palliative Care Organization (NHPCO)
  • Member, National Hospice and Palliative Care Organization’s Standards and Accreditation Committee (1999 to 2005)
  • Member, Otterbein University Science Campaign Member
  • Sigma Theta Tau

Teaching/Presentations at Educational Institutions

  • The International Home Care Nurses Organization – Poster Presentation at the ICN Meeting (International Council of Nurses), Malta (2011)
  • University of Oklahoma Health Sciences Center, Special Business Advisor (2008)
  • Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio (1995-1997)
  • University of Cincinnati College of Nursing, Cincinnati, Ohio (1995-1997)
  • Villanova University College of Nursing, Home Care Case Management Institute, Villanova, Pennsylvania (1996-1997)
  • Yonsei University School of Nursing, Seoul, Korea and Bangkok, Thailand (1996)
  • University of Alabama College of Nursing, Huntsville, Alabama (1995-1996)

Honors, Boards, and Awards

  • Editorial Board, The American Nurse (Official Journal of the ANA) – 2015 to present
  • Duke University Nursing Alumni Council – 2015 to  Present
  • Reviewer, 2014 Revised Scope and Standards Home Health Nursing Practice, American Nurses Association.
  • Fellow, the American Academy of Nursing (FAAN) – 2009  to Present
  • Board Member, Otterbein University Science Initiative Volunteer Committee (2007-2010)
  • Board Member, Venice Area Healthcare Foundation (2004–2008)
  • Board Member, Barrier Islands Park Society (BIPS), Boca Grande, FL (2003 to Present)
  • Editorial Board Member, Home Care/Community Health Columnist, Geriatric Nursing (2000-2006)
  • Editorial Board Member, The Journal of Community Health Nursing (2001 to present)
  • Sigma Theta Tau Honor Society recipient “Best Pick” for the text The Manual of Home Health Practice
  • The recipient of the Genie Eide Award from the Arizona Association for Home Care
  • Clinical Instructor Case Western Reserve Francis Payne Bolton School of Nursing
  • Volunteer, Sea Turtle Patrol, Mote Marine Aquarium, Venice Florida
  • Geraldine Price Scholarship (Mid-Ohio District Nurses Association)
  • Briggs Corporation Recognition
  • The Health Care Financing Administration (HCFA) (now CMS) Bureau Director’s Citation
  • Soroptomist Writing Award recipient

Speaking Engagements (sample)

  • NAHC Annual Meeting, Nashville, TN, October 2015 – Title: How to Train Staff to Be Prepared for Documentation and the New HHCops
  • The International Home Care Nurses Organization (IHCNO), Chicago, IL, August 8-10, 2015 – Title: Home Visits: The Unit of Value in Collaborative and Holistic Care, Title: Publish or Perish (and Improve Practice!), Poster Title: Excellence in Patients’ Homes through Global Connections
  • The New Mexico Association for Home & Hospice Care, Albuquerque, NM, August 6-7, 2015 – Title: Documentation, The Proposed CoPs and Supporting the Need for Covered Care
  • Visiting Nurses Associations of America (VNAA), New Orleans, LA, April 20-22, 2015 – Title: Documentation and the New Proposed Conditions of Participation (CoPs)
  • National Assn for Home Care and Hospice (NAHC) Annual Meeting, October, 2014, Phoenix, Arizona Title: How to Meet Regulatory & Legal Recommendations: Clinical Documentation
  • International Home Care Nurses Organization, Singapore, September 23-26, 2014 Title: Welcome and History and Overview of the IHCNO
  • Carillion Clinic, Roanoke, VA – October 2012 Title: Writing for Publication: Who Me? Start Now?
  • The International Academy of Nursing Editors, Portland, Maine, August 4-5, 2014 Title: Passing the Baton: Do’s and Dont’s for Making a Successful Transition: Lessons Learned
  • The International Academy of Nursing Editors (INANE) Annual meeting, San Francisco, CA, USA – August 2011 Title: “Editors Cannot Know (and Sometimes Even Find) It All” Making the Case for a Medical Librarian on Your Editorial Board”
  • The International Council of Nursing (ICN), Malta, May 2011 Title: “Excellence in the Patient’s Home through Global Connections: An International Organization for Home Care Nurses (IHCNO)”
  • National Association for Home Care & Hospice (NAHC) Annual Meeting & Exposition, Dallas, Texas Title: A Practical Toolbox for Meeting Complex & Numerous Requirements: Managing Change in an Era of Reform
  • VNAA Educational Webinar Sponsoring Organization, Online Title: The Write Stuff: Advancing Home Health Care and Hospice Quality through Publication
  • National Association for Home Care and Hospice (NAHC) Annual Meeting,Los Angeles, California Title: Improvement and Retention of Home Health Aides: Surviving the Waves for Success
  • Illinois Home Care Council Annual Conference and Exposition,Oak Brook, Illinois Title: The Fundamentals of Documentation for Home Health and Private Pay; Improving Hospice Documentation